Organization
KIDZCHOICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA N SANFORD (PRESIDENT)
(918) 423-4900
Entity
Organization
Contact information
Practice address
101 OKLAHOMA AVE, MCALESTER, OK 74501-7508
(918) 423-4900
(918) 423-4905
Mailing address
101 OKLAHOMA AVE, MCALESTER, OK 74501-7508
(918) 423-4900
(918) 423-4905
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R0062969
OK
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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